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Terminal Care in Nursing Homes (일 지역 요양시설의 임종돌봄서비스)

  • Kim, Jung Hee;Mun, Kyung Sook;Shin, Bok Soon;Jang, Eun A
    • Journal of Home Health Care Nursing
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    • v.22 no.2
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    • pp.216-227
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    • 2015
  • Purpose: This study aimed at understanding terminal care provided in nursing homes. Method: An interview survey with staff in charge of terminal care was conducted in 97 nursing homes using questionnaires. The questionnaire was reviewed by 3 experts and pretested at 5 facilities. Data were analyzed using descriptive statistics, chi-square test, and Fisher's exact test. Result: Dyspnea was the most prevalent symptom predicting death. The most prevalent services were vital sign check for physical care, providing services by talking despite an unconscious state for psychosocial care, and respecting the faith of the elder for spiritual care. Employment of a registered nurse showed a significant difference in tube feeding (p=.035), analgesic administration (p=.022), informing the elder of end-of-life state (p=.020), helping an elderly person say good-byes through a visit with friends and acquaintances (p=.023), and helping express feelings related to death (p=.002). Lack of service was noticed for elderly resident, family, and staff after death of an elder. Problems related to terminal care were indifference of family members, difficulty in obtaining medical prescription, difficulty in predicting death, and so forth. Conclusion: Terminal care must be improved by making specific guidelines and it must become a part of nursing home evaluation.

Effect of Attribution Disposition and Self-Efficacy on Clinical Practice Competence of Nursing Student (간호대학생의 귀인성향과 자기효능감이 임상수행능력에 미치는 영향)

  • Kim, Su Ol;Kim, So Myeong
    • Journal of Korean Public Health Nursing
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    • v.29 no.3
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    • pp.452-462
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    • 2015
  • Purpose: The purpose of this study was to examine the influence of attribution disposition and self-efficacy on clinical practice competence of nursing students. Methods: A descriptive survey design was used. Participants were 214 nursing students who were collected using a structured questionnaire. Data were analyzed by frequencies, t-tests, ANOVA, Pearson correlation coefficients and multiple stepwise regression via spss win 21.0. Results: The total mean score for attribution disposition was $3.73{\pm}0.46$, self-efficacy was $3.20{\pm}0.42$, and clinical competence was $3.44{\pm}0.47$. Clinical competence is significantly and positively correlated with attribution disposition (r=.179, p=009) and self-efficacy (r=.379, p<.001). In a multivariate approach, predictors included explained 33.5% of variance in clinical competence. Significant predictors of clinical competence were attribution disposition (${\beta}=.245$, p<.001), self-efficacy (${\beta}=.380$, p<.001), and satisfaction with the nursing (${\beta}=.246$, p<.001). Conclusion: Development of an effective intervention program is needed to improve nursing students clinical practice competence, attribution disposition and attribution disposition of nursing students.

Associations of Vocational Calling, Emotional Intelligence, and Major Commitment with the Happiness of Nursing Students: Focusing on Mediating Effects of Major Commitment (간호대학생의 소명의식, 감성지능 및 전공몰입과 행복감 간의 관계: 전공몰입의 매개효과를 중심으로)

  • Park, Hyun Sook
    • Journal of Korean Academy of Psychiatric and Mental Health Nursing
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    • v.27 no.4
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    • pp.332-341
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    • 2018
  • Purpose: The purpose of this study was to determine the impacts of vocational calling, emotional intelligence, and major commitment on nursing college students' happiness. This study also was conducted to explore major commitment's mediating effect on the relationship between vocational calling, emotional intelligence, and major commitment among nursing college students. Methods: Participants were 346 nursing college students. Data were collected in November, 2017 with self-report questionnaires and were analyzed using t-test, one-way ANOVA, Pearson's correlation coefficients, and regression analysis with IBM SPSS 19.0. Results: The regression model explained 33.0% of variance in nursing college students' happiness (F=41.44, p<.001). Significant factors were emotional intelligence (${\beta}=.30$, p<.001), grade (${\beta}=.20$, p<.001), major commitment (${\beta}=.18$, p=.002), and vocational calling (${\beta}=.11$, p=.035). Moreover, major commitment showed partial mediating effects on vocational calling and happiness. Major commitment also showed partial mediating effects on emotional intelligence and happiness. Conclusion: The results suggest that nursing college students' happiness can be increased through strategies aimed at increasing vocational calling, emotional intelligence, and major commitment.

Factors Influencing on Self-directed Learning in Clinical Practice of Nursing Students (간호대학생의 임상실습에서의 자기주도학습에 영향을 미치는 요인)

  • Lee, Eunsoo;Kim, Miyoung
    • The Journal of Korean Academic Society of Nursing Education
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    • v.25 no.2
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    • pp.163-172
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    • 2019
  • Purpose: The purpose of this study was to identify the effects of nursing students' belongingness and self-esteem on self-directed learning in clinical practice. Methods: The participants were 163 senior nursing students. Using a structured-questionnaire, data were collected from September to October 2016. Data were analyzed using independent t-test, ANOVA, $Scheff\acute{e}$, test Pearson's correlation coefficients, and multiple linear regression. Results: Self-directed learning in clinical practice had statistically significant correlation with belongingness (r=.47, p<.001) and self-esteem (r=.52, p<.001). Factors affecting self-directed learning were self-esteem (${\beta}=.38$, p<.001), belongingness (${\beta}=.30$, p<.001), and more than 5 members of clinical practice (${\beta}=.15$, p=.017). These three variables explained 35% of self-directed learning. Conclusion: In order to enhance self-directed learning in clinical practice of nursing students, nursing schools should provide training to increase self-esteem in nursing students. In addition, an appropriate number of students should be considered, so that they can have a well-developed sense of belonging to clinical practice.

Influence of Nurses' COVID-19 Related Stress, Hardiness, and Organizational Citizenship Behavior on Nursing Intention in Infectious Diseases Hospitals (감염병전담병원 간호사의 COVID-19 관련 스트레스, 강인성 및 조직시민행동이 간호의도에 미치는 영향)

  • Song, Myung Suk;Yang, Nam Young
    • Journal of Home Health Care Nursing
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    • v.28 no.2
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    • pp.154-163
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    • 2021
  • Purpose: This study aimed to verify the effects of nurses' COVID-19 related stress, hardiness, and organizational citizenship behavior on nursing intention in infectious disease hospitals. Methods: The participants were 182 nurses. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and multiple stepwise regression analysis with the SPSS program. Results: The nursing intention of nurses differed significantly by age (p=.013), marital status (p=.002), clinical career (p=.018), job position (p=.005), and experience of education for infectious disease management (p=.016). A statistically significant positive correlation was observed between nursing intention and COVID-19 related stress(r=.18), and between nursing intention and organizational citizenship behavior(r=.43). COVID-19 related stress, and organizational citizenship behavior explained 21% of the nursing intention. Conclusion: Based on the above results, improve the nursing intention of infectious disease hospital nurses exposed to risk, and it is necessary to manage inadequate stress of infectious diseases and cultivate organizational citizenship behavior.

The Influencing Factors on Nursing Perspectives and Satisfaction of Clinical Practice in Nursing Students (임상실습시 간호학생이 지각하는 간호 가치관과 실습 만족도에 영향을 미치는 요인)

  • Yang, Jin-Ju
    • The Journal of Korean Academic Society of Nursing Education
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    • v.6 no.2
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    • pp.276-286
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    • 2000
  • The purpose of this study was designed to analyze the influencing factors on nursing perspectives and satisfaction of clinical practice in nursing students. The data was collected through structured questionnaire. The subjects in this study were 192 nursing students who had been educated in three colleges and one university in Kwangju. Data collection was done from January to February, 1999. The data was analyzed by using SAS program. The results from this study were as follows; 1. The mean score of total nursing perspectives was $4.24{\pm}0.40$ and that of total clinical practice satisfaction was $2.63{\pm}0.38$. 2. Self experience of admission was significant in satisfaction of clinical practice(t=2.09, p=.03). 3. Nursing perspectives by religion was significant(t=2.26, p=.02). 4. The nursing perspectives was significant according to the classifications of clinical instructor(F=4.50, p=.01) and the most difficult interpersonal relationships of the clinical practice(F=4.14, p=.02). 5. The satisfaction of clinical practice was significant according to the most difficult interpersonal relationships of the clinical practice(F=3.61, p=.03). 6. The correlation between the scores of nursing perspectives and satisfaction of clinical practice was not significant(r=.191, p=.060). In conclusion, it was found that the more positive interpersonal relationships of clinical practice, the more higher degree of perceived satisfaction of clinical practice and nursing perspectives. And the clinical instructors should play a good role model to gain positive satisfaction of clinical practice perceived by nursing students.

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Awareness, Nursing Needs, and Nursing Satisfaction on Conscious Sedation as a Pretreatment for Diagnostic Tests in the Guardians of Hospitalized Children (진단검사 전 처치로 실시하는 의식하 진정요법에 대한 환아 보호자의 인식도와 간호요구도, 간호만족도)

  • Seo, Mi Hee;Park, Soonjoo
    • Journal of the Korea Convergence Society
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    • v.12 no.12
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    • pp.573-581
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    • 2021
  • This study aims to investigate the awareness, nursing needs, and nursing satisfaction of conscious sedation, and their relationships in the guardians of hospitalized children receiving conscious sedation. Data were collected from 120 guardians of children who were admitted to the pediatric ward of University Hospital C in D city from July 6 to October 6, 2016 and received conscious sedation as a pretreatment for diagnostic tests. The result showed that the guardians' awareness was relatively low (2.49±0.83) and nursing needs (4.53±0.40) was found to be significantly higher than nursing satisfaction (3.81±0.56)(p<.001). Awareness showed a significant positive correlation with nursing satisfaction (r=.18, p=.048) and there was a significant positive correlation between nursing needs and satisfaction (r=.20, p=.033). This result suggested that in order to improve the nursing satisfaction of the guardians, it is necessary to understand the awareness and nursing needs of the guardians on conscious sedation. In addition, the development of customized nursing intervention should be carried out based on the awareness and nursing needs.

Factors Influencing Creativity in Nursing Students (간호대학생의 창의성에 미치는 영향요인)

  • Park, Ju-young;Woo, Chung Hee;Kim, Doo Ree
    • Journal of the Korea Convergence Society
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    • v.8 no.5
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    • pp.107-115
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    • 2017
  • The purpose of this study was to investigate the factors affecting the creativity of nursing college students who should act as professional nurses in the future. In order to carry out this research, the data collected through structured questionnaires were analyzed for 209 nursing college students who were approved by the IRB of K University. The results of this study showed that the creativity and self-efficacy(r=.374, p<.001), thinking ability(r=.347, p<.001), and school environment perception(r=.246, p<.001) were found to be positively correlated. In addition, the factors influencing the creativity of nursing students were self-efficacy(${\beta}=0.249$, p=.001), thinking ability(${\beta}=0.152$, p=.043), school environment perception(${\beta}=0.188$, p=.005) and the explanatory power of these variables was 21.2%. In the future, it will be necessary to develop educational methods for creativity development of nursing college students.

The Effects of Moral Sensitivity and Organizational Culture for Infection Control on Infection Control Performance of Long-Term Care Hospital Nurses (요양병원 간호사의 도덕적 민감성, 감염관리 조직문화가 감염관리 수행도에 미치는 영향)

  • Baek, Seol Hwa;Lee, Mi Hyang;Shim, Moon Sook;Lim, Hyo Nam
    • Journal of Home Health Care Nursing
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    • v.30 no.1
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    • pp.26-36
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    • 2023
  • Purpose: This study investigated the organizational culture in hospital for infection control, moral sensitivity, and the degree of infection control among long-term care hospital nurses, and to identified the factors associated with infection control perfomance. Methods: 186 nurses who directly care for patients at seven Long-Term Care Hospitals in D Metropolitan City participated in the survey. Data were collected using self-reported questionnaires and analyzed using the IBM SPSS 26.0 software. Results: Moral sensitivity showed statistically significant differences in age (F=5.473, p=.065), clinical experience (F=8.890, p=.031), nursing hospital work experience (F=6.520, p=.038), religion (t=-2.01, p=.046) and position (t=-2.96, p=.003). Correlation analysis revealed that with moral sensitivity and effect of organizational culture on infection control, there was a positive correlation between infection control and patient-centered nursing (r=.201, p<.006), professionalism (r=.149, p<.042), benevolence (r=.303, p<.001), infection control organizational culture (r=.556, p<.001). Benevolence of moral sensitivity (β=.21, p=.001) and infection control organizational culture (β=.54, p<.001) were associated with infection control perfomance. Moral sensitivity (including patient-centered nursing, professionalism, and benevolence) and infection control organizational culture explained 33.8% of the variance in infection control (F=24.57, p<.001). Conclusion: It is important to improve the moral sensitivity of nurses and a positive organizational culture for better infection control. We need to develop intervention strategies and establish systematic and administrative support.

Development and testing effectiveness of a simulation program to control COVID-19 infections in nursing students (간호대학생을 위한 COVID-19 감염관리 시뮬레이션 프로그램 개발 및 효과)

  • Kang, Kino;Im, Mihae;Jang, Miyoung;Lee, Jaewoon;Lee, Okjong
    • Journal of Korean Critical Care Nursing
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    • v.16 no.2
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    • pp.54-66
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    • 2023
  • Purpose : Developing infection control capabilities during the COVID-19 pandemic was critical. This study aimed to develop a simulation program to control patients with COVID-19 in nursing students and examine the effects on COVID-19 knowledge, COVID-19 nursing intention, self-efficacy learning, and clinical performance. Methods : The study used nonequivalent control group pretest-posttest design. Sixty nursing students were recruited from two different colleges using purposive sampling. For the intervention group(n=30), the pretest was administered before the simulation program, involving six sessions of online lectures and simulation practices. Immediately, the posttest was conducted following the program. Results : COVID-19 knowledge (t=9.87, p <.001), COVID-19 nursing intention (t=4.45, p <.001), learning self-efficacy (t=6.49, p <.001), and clinical performance (t=6.77, p <.001) increased significantly after the program, revealing the positive effect of the COVID-19 infection control simulation program in nursing students. Conclusion : The results of the study and the curriculum may be used as practical evidence for COVID-19 infection control in nursing schools and medical institutions.